Is there anything I can do about resistent acne on the neck?
You bring up several good points. The most common evolution of acne over a 10-15 year period is from the center of the face (“t-zone”) gradually moving out to the lateral areas on the cheeks and then, toward the end of it’s mysterious cycle, down onto the neck. I’m guessing you didn’t have it in this area when you were 16 (always exceptions though). The good news is that you may be getting closer to the end all this.
Here are some thoughts about things to discuss with your doctor/dermatologist:
Can you increase the frequency of the Atralin or, if that’s too irritating, change to something that’s less irritating that you could use every night (lots of options ?
Your spironolactone dose is low – more common is a dose in the range of 75-150 mg – could that be increased without risking side effects?
If you pick at these, should a bacterial culture be done to make sure you now aren’t infected with a Staph bacteria in addition to the acne?
An interesting antinflammatory cream (not a steroid so won’t thin the skin), is Biafine – can be helpful to reduce redness more quickly.
For more information on acne, check out the following guides:
Seeking out a good dermatologist is important. For tips and information about how to find a good dermatologist, check out our article Tips to Find A Good Dermatologist.
Just some thoughts and hope this helps,